Provider Demographics
NPI:1275703001
Name:KAREN J SEVERSON MD
Entity Type:Organization
Organization Name:KAREN J SEVERSON MD
Other - Org Name:DR KAREN SEVERSON AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-723-5371
Mailing Address - Street 1:145 BELLEZZA TER
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4315
Mailing Address - Country:US
Mailing Address - Phone:561-723-5371
Mailing Address - Fax:561-791-8068
Practice Address - Street 1:145 BELLEZZA TER
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4315
Practice Address - Country:US
Practice Address - Phone:561-723-5371
Practice Address - Fax:561-791-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty